BRS VA Special Interest Group and MAGIC.

BRS VA Special Interest Group and MAGIC.

In 2015 a group of staff decided to form a Vascular Access special interest group (BRS VA SIG), this consists of vascular access and haemodialysis nurses, haemodialysis patients, nephrologists, vascular surgeons and interventional radiologists.

The main aim was to be able to identify, clarify and improve on best practice within the vascular access (VA) field, with particular focus on the aftercare of VA once created. The group’s main focus was to develop and identify materials that would help and support staff in being able to implement the best practice within certain elements of patient care, ensuring consistency nationally across the UK as well as implementation of the best practice guidance.

In 2016 BRS joined forces with the Vascular access society for Britain and Ireland (VASBI)and as a result of this collaboration the project called MAGIC  (Managing Access by Generating Improvements on Cannulation) was formed. MAGIC is a quality improvement project to help units implement best needling practices; It is led by Katie Fielding, Margaret Atkin and supported by KQuIP. It is based on our ‘Clinical practice Recommendations on Needling of AVF/AVG’ together with the change package to enable and assist haemodialysis units with the implementation of the recommendations within every day working of the unit. The change package includes educational materials for staff and awareness materials for patients, which are currently in development.

There are 3 other projects that have been undertaken by the group, one of which has now been completed and a paper produced this being A National Survey of the structure of Vascular Access services, the two remaining projects are:  the life threatening haemorrhage recommendations are supported by a combination of tools to enable units to manage and prevent life threatening haemorrhage (LTH) from AVF/AVG. These tools will be released via NHS improvements in the next 2-3 months.

MAGIC, BRS VA and VASBU have a strong desire to produce meaningful materials for both patients and staff; we would like patient involvement in all our activities to ensure these are relevant to renal patients. Whilst we already have engaged patients supporting this work, we are widening our scope to involve more patients. It is hoped that by raising awareness for patients this will create interest in other patients that might want to join. If you are interested in supporting any of this work please contact the Renal Vascular Access Nurse Specialist at MRI, Alayne Gagen.


For more information please visit KQuIP.






I’m an ADPKD patient who was lucky enough to have a transplant in 2003 after only eleven months of dialysis. I'm the north-west Patient Advocacy & Support Officer for Kidney Care UK and my interests, other than my role within GMKIN, include sport, music and politics. Follow me on Twitter: @finnigr

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2 thoughts on “BRS VA Special Interest Group and MAGIC.

  • Hi, I am extremely interested in this project. I have been in dialysis for 29 years, 4 failed transplants due to the recurrence of Mesangio type 1 glomerlular nephritus. My access is via a brachial ( upper left) fistula. I am running out of access for dialysis and therefore would be extreme pleased to work alongside, helping your cause..

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